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Paramedic

Paramedic

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

APPROPRIATE PPE FOR THE FOLLOWING SCENARIOS

Standard Precautions (PPE to be Worn Based on Anticipated Level of Exposure)
Contact/Contact Enteric Precautions (Gown & Gloves)
Droplet Precautions (Surgical Mask)
Airborne Precautions (N95 where Appropriate)

REGULATORY AGENCIES/STANDARDS OF CARE AGENCIES

World Health Organization (WHO)
Centers of Medicare and Medicaid Services (CMS)
Agency for Healthcare Research and Quality (AHRQ)

INTERDISCIPLINARY COMMUNICATION

Communicate with patients and their companions in a courteous manner using age and cultural appropriate methods.
Understand the chain of communication, who to contact, and when.
Listen actively to patient concerns and address them appropriately.
Perform and maintain accurate patient records and documentation related to interventions, plan of care, diagnoses.
Maintain patient confidentiality according to HIPAA guidelines i.e.: status updates to family members.
Implement effective solutions for communication with patients when barriers exist i.e.: physiological, cultural, language.

GENERAL SKILLS

Adult CPR
Adult FBAO (Foreign Body Airway Obstruction)
Bleeding Control/Shock Management
BLS/ALS: Cardiac Arrest Management (AED)
BLS/ALS: Epinephrine Administration (EPI)
BLS/ALS: Nitroglycerin Administration (NTG)
Child CPR
Child FBAO
Helmet Removal: Football
Helmet Removal: Motorcycle
Infant CPR
Infant FBAO
Pneumatic Anti shock garment (MAST)
Starting a peripheral IV line
Vital Signs: Blood Pressure
Vital Signs: Lung Sounds
Vital Signs: Pulse
Vital Signs: Pulse Oximetry
Vital Signs: Respiration

BAG-VALVE-MASK/APNEIC

Taking body substance isolation precautions
Opening the airway
Inserting an airway adjunct
Selecting appropriately sized mask
Creating a proper mask-to-face seal
Ventilating patient at no less than 800ml volume
Connecting reservoir and oxygen
Adjusting liter flow to 15 liters/minute or greater

BLEEDING CONTROL/SHOCK

Applying direct pressure to the wound
Elevating extremity
Applying additional dressing to the wound
Locating and applying pressure to appropriate arterial pressure point
Wound bandaging
Proper positioning of patient
Applying high concentration oxygen
Preventing heat loss from the patient
Indicating the need for immediate transportation

CARDIAC ARREST

Turning on AED power
Attaching AED to patient
Stopping any rescuer CPR and ensuring all are clear of the patient
Initiating analysis of the rhythm
Delivering shock
Confirming effectiveness of CPR (ventilation and compressions)
Insertion of simple airway adjunct (oral/nasal airway)

IMMOBILIZATION

Selecting proper splinting material
Immobilizing the site of injury
Immobilizing bone above the injured joint
Immobilizing bone below the injured joint
Reassessing motor, sensory and circulatory function
Measuring splint
Applying splints: Traction splints
Applying splints: Long bone splints
Applying splints: Joint injuries
Spinal Immobilization: Seated patient
Spinal Immobilization: Supine patient

NASOPHARYNGEAL AIRWAY

Selecting appropriately sized airway
Measuring airway
Lubricating the nasal airway
Inserting the airway with bevel facing septum

OROPHARYNGEAL AIRWAY

Body substance isolation precautions
Selecting appropriately sized airway
Measuring airway
Inserting airway without pushing the tongue posteriorly
Removing oropharyngeal airway

PAIN

Sizing up a scene: safety, nature, number of patients, etc.
Determining level of consciousness
Determining apparent life threats
Assessing Airway, Breathing & Circulation
Triaging patients
Obtains, or directs assistance to obtain baseline vital signs

PHYSICAL EXAMINATION

Assessment of the head
Assessment of the neck
Assessment of the chest
Assessment of the abdomen/pelvis
Assessment of the extremities
Assessment of the posterior: thorax, lumbar

SUCTION

Turning on/preparing suction device
Assuring presence of mechanical suction
Inserting suction tip without suction
Applying suction to the oropharynx/nasopharynx

SUPPLEMENTAL OXYGEN

Connecting one-way valve to mask
Attaching non-rebreather mask to oxygen
Confirming patency of patient’s airway (manually or with adjunct)
Establishing proper mask to face seal
Ventilating a patient at the proper volume and rate
Connecting mask to high concentration oxygen
Assembling regulator to the tank
Checking for leaks
Checking for tank pressure
Prefilling reservoir

VENTILATORY MANAGEMENT - DUAL LUMEN DEVICE

Positioning patient’s head properly
Performing a tongue-jaw lift
Use of Combitube
Use of PTL
Attachment of BVM to first (esophageal placement) lumen and ventilating
Attachment of BVM to the second (endotracheal placement) lumen and ventilating
Confirming of placement and ventilation through correct lumen
Securing device
AIRWAY##
Identifies proper equipment for insertion of EOA
Assembling the EOA
Testing cuffs for leaks
Inflating the mask
Lubricating the tube
Proper head positioning
Inserting EOA
Confirming placement of EOA

VENTILATORY MANAGEMENT - ENDOTRACHEAL TUBE

Ventilating immediately using a BVM device unattached to oxygen
Hyperventilating the patient with room air
Attaching oxygen reservoir to the BVM
Attaching the BVM to high flow oxygen
Ventilating patient at the proper volume and rate
Selecting proper equipment for endotracheal intubation
Checking for cuff leaks
Checking laryngoscope operation and bulb tightness
Proper head positioning
Inserting a laryngoscope blade into patient’s mouth
Elevating patient’s mandible with a laryngoscope
Introduces endotracheal tube and advancing to proper depth
Inflating cuff to proper pressure
Confirming placement of endotracheal tube
Securing endotracheal tube

VENTILATORY MANAGEMENT - ESOPHAGEAL OBTURATOR

AIRWAY##
Identifies proper equipment for insertion of EOA
Assembling the EOA
Testing cuffs for leaks
Inflating the mask
Lubricating the tube
Proper head positioning
Inserting EOA
Confirming placement of EOA

AUTOMATED MEDICATION DISPENSING SYSTEMS

Accudose
Metro
Omnicell
Promanager Rx
Pyxis
eMAR

MEDICATIONS

Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antianginal
Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Antihyperlipidemic Drugs
Antihypertensive
CNS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Immunosuppressants
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agents
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

TECHNOLOGY

Telehealth platforms
Smartphones
Tablets
Remote Monitoring Equipment
Electronic Health Record (EHR)
Data Analytics
Artificial Intelligence (AI): Chatbots
Artificial Intelligence (AI): Robots
Patient Engagement Tools
Video Conferencing Software
Secure Messaging Platforms
Clinical Decision Support Systems (CDSS): UpToDate
Clinical Decision Support Systems (CDSS): Zynx Health
Clinical Decision Support Systems (CDSS): VisualDX
Clinical Decision Support Systems (CDSS): Cerner
Clinical Decision Support Systems (CDSS): Epic

USE OF ANCILLARY EQUIPMENTS

Automated External Defibrillator (AED)
Defibrillator
EKG Monitor
Glucose Meter
Oxygen Saturation Monitor
Oxygen Gauge
Oxygen Tank
Oxygen Flowmeter

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Oracle (Cerner)
CPSI
eCLinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Middle adults (39- 64 years)
Elderly adults (80+ years)